Digital Commons Network^™

Structured Interviews Examining The Burden, Coping, Self-Efficacy, And Quality Of Life Among Family Caregivers Of Persons With Dementia In Singapore, Peter Kay Chai Tay, Chuen Chai Dennis Seow, Chunxiang Xiao, Hui Min Julian Lee, Helen Chiu, Sally Wai-Chi Chan

Research Collection School of Social Sciences

Dementia is a global health issue and the effects on caregivers are substantial. The study aimed to examine the associations of burden, coping, self-efficacy with quality of life among family caregivers of persons with dementia in Singapore. Structured interviews were conducted in a convenience sample of 84 family caregivers caring and seeking clinical care for the persons with dementia in an outpatient clinic of a public hospital in Singapore. The outcome measures included the Family Burden Interview Schedule, Family Crisis Oriented Personal Evaluation Scale, General Perceived Self-Efficacy Scale, and World Health Organization Quality of Life Scale – Brief Version. In …

Value-Inspired Service Design In Elderly Home-Monitoring Systems, Na Liu, Sandeep Purao, Hwee-Pink Tan

Research Collection School Of Computing and Information Systems

The provision of elderly home-monitoring systems to enhance aging-in-place requires the service to meet the needs of both the elderly and their caregivers. The design of such IT services requires interdisciplinary efforts to look beyond the technical requirements. Taking a value-inspired design perspective, the study argues that service design for promoting aging-in-place needs to reconcile the values of both the elderly and caregivers. Drawn from the framework of basic human values and the unique experience of the SHINESeniors project, the study extracts the core values for elderly and caregivers using a multi-method case analysis. We suggest that both system and …

Differential Health And Social Needs Of Older Adults Waitlisted For Public Housing Or Housing Choice Vouchers, Paula C. Carder, Gretchen Luhr, Jacklyn Nicole Kohon

Institute on Aging Publications

Affordable housing is an important form of income security for low-income older persons. This article describes characteristics of older persons waitlisted for either public housing or a housing choice voucher (HCV) (previously Section 8) in Portland, Oregon. 358 persons (32% response rate) completed a mailed survey with questions about demographics, health and housing status, food insecurity, and preference for housing with services. Findings indicate that many waitlisted older persons experienced homelessness or housing instability, poor health, high hospital use, and food insecurity. Public housing applicants were significantly more likely to report lower incomes, homelessness, and food insecurity than HCV applicants. …

Alzheimer's Biomarkers Are Correlated With Brain Connectivity In Older Adults Differentially During Resting And Task States, Yang Jiang, Haiqing Huang, Erin Abner, Lucas S. Broster, Gregory A. Jicha, Frederick A. Schmitt, Richard Kryscio, Anders H. Andersen, David Powell, Linda J. Van Eldik, Brian T. Gold, Peter T. Nelson, Charles D. Smith, Mingzhou Ding

Behavioral Science Faculty Publications

β-amyloid (Aβ) plaques and tau-related neurodegeneration are pathologic hallmarks of Alzheimer’s disease (AD). The utility of AD biomarkers, including those measured in cerebrospinal fluid (CSF), in predicting future AD risk and cognitive decline is still being refined. Here, we explored potential relationships between functional connectivity (FC) patterns within the default-mode network (DMN), age, CSF biomarkers (Aβ₄₂ and pTau₁₈₁), and cognitive status in older adults. Multiple measures of FC were explored, including a novel time series-based measure [total interdependence (TI)]. In our sample of 27 cognitively normal older adults, no significant associations were found between levels of Aβ …

Jockey Club Age-Friendly City Project : Action Plan : Islands, Asia-Pacific Institute Of Ageing Studies, Lingnan University

Jockey Club Age-Friendly City Project - Reports

In response to the global ageing population, the World Health Organization (the “WHO”) devised the concept of “Global Age-friendly Cities” in 2005 to encourage cities all around the world to develop a healthy and comfortable living environment with age-friendly facilities and provide sufficient community support and health care services which benefit the older people, family and society. In order to proactively tackle the challenges of an ageing population and promote the concept of an age-friendly city, the Hong Kong Jockey Club Charities Trust launched the Jockey Club Age-friendly City Project (“Project”) in 2015 in partnership with four gerontology research institutes …

Jockey Club Age-Friendly City Project : Baseline Assessment Report : Islands, Asia-Pacific Institute Of Ageing Studies, Lingnan University

Jockey Club Age-Friendly City Project - Reports

The aim of this baseline assessment was to evaluate the current state of age-friendliness and make a list of recommendations for the future development of Islands District (the District) through adopting a bottom up and district-based approach. The baseline assessment provided opportunities for the elderly to voice their opinions and served as an appropriate strategy to meet their needs. Additionally, stakeholders from diverse groups can work together to build and maintain an age-friendly community.

Jockey Club Age-Friendly City Project : Baseline Assessment Report : Tsuen Wan, Asia-Pacific Institute Of Ageing Studies, Lingnan University

Jockey Club Age-Friendly City Project - Reports

The aim of this baseline assessment was to evaluate the current state of age-friendliness and make a list of recommendations for the future development of Tsuen Wan District (the District) through adopting a bottom up and district-based approach. The baseline assessment provided opportunities for the elderly to voice their opinions and served as an appropriate strategy to meet their needs. Additionally, stakeholders from diverse groups can work together to build and maintain an age-friendly community.

The Case For Age-Friendly Communities, Margaret Neal, Alan Kenneth Delatorre

Institute on Aging Publications

The report was funded by Grantmakers In Aging, an organization dedicated to promoting and strengthening grantmaking for an aging society. The movement toward age-friendly communities is growing, with the key impetus being population aging. Beyond what individuals themselves can do to age optimally, the movement to create communities that are age friendly focuses on how the economic, physical, and social environments can be improved to address not only the needs but also maximize the assets of an aging population, for the benefit of all.

Training For Research And Teaching In Geropsychology: Preparing The Next Generation Of Scholars And Educators, Brian D. Carpenter, Erin Sakai, Michele J. Karel, Victor A. Molinari

Aging Studies Faculty Publications

For geropsychology to flourish in the years ahead, we need scientists to advance knowledge and teachers to draw new professionals into the field. In this project the authors surveyed 100 geropsychologists who completed a doctoral degree in clinical or counseling psychology about their experience with training for research and teaching. The majority were currently conducting some degree of research (38%) and some form of teaching (45%). The majority of ratings for components of research training were in the “very good to excellent” range, whereas elements of teacher training were rated in the “poor to good” range, though there was variability …

Factors Associated With Unmet Needs Among African-American Dementia Care Providers, P. J. Desin, Allison M. Caban-Holt, Erin L. Abner, Linda J. Van Eldik, Frederick A. Schmitt

Sanders-Brown Center on Aging Faculty Publications

Racial and ethnic minorities currently comprise 20% of the U.S. population; in 2050, this figure is expected to rise to 42%. As a result, Alzheimer’s disease (AD), the 5th leading cause of death for people aged 65 and older, is likely to increase in these groups. Most dementia caregiving for these populations comes from family and friends, especially among families with lower socioeconomic status. A convenience sample of 30 African-American dementia caregivers was interviewed to determine unmet needs. Participants expressed a limited desire for formal services, such as support groups, legal advice, case management, and homemaker services. Instead, commonly expressed …

Incremental Validity Of Useful Field Of View Subtests For The Prediction Of Instrumental Activities Of Daily Living, Frederik Aust, Jerri D. Edwards

Aging Studies Faculty Publications

Introduction: The Useful Field of View Test (UFOV®) is a cognitive measure that predicts older adults’ ability to perform a range of everyday activities. However, little is known about the individual contribution of each subtest to these predictions, and the underlying constructs of UFOV performance remain a topic of debate.

Method: We investigated the incremental validity of UFOV subtests for the prediction of Instrumental Activities of Daily Living (IADL) performance in two independent datasets, the SKILL (n = 828) and ACTIVE (n = 2426) studies. We then explored the cognitive and visual abilities assessed by UFOV …

Elderly Undocumented Latinos And Their Retirement Strategies, Alfredo Torres, Jose A. Munoz, Rubi Becerril

Sociology Faculty Publications

No abstract provided.

Ua41 University College Connection, Dennis K. George, Dean, Wendi Kelley, University College

UC Publications

No abstract provided.

Bullying In Senior Living Facilities: A Qualitative Study, Felicia Jo Vandenest

All Graduate Theses, Dissertations, and Other Capstone Projects

Resident-to resident bullying has attracted some attention in the popular press and is well-known to many who work with seniors in long-term care facilities. However, this is very little empirical literature that has address the topic of "senior bullying". The aim of the proposed qualitative study is to better understand the phenomenon of resident-to-resident bullying from the perspective of staff who work in long-term care facilities. Staff members (n=45) responded to a combination of open- and close-ended interview questions regarding their observations of senior-to-senior bullying. Results indicate that the majority of staff members (98%) have observed resident-to-resident bullying within senior …

Chronic Pancreatitis, Pain, And Anxiety In An Alcohol And High Fat Mouse Model, Tiffanie Clinkinbeard

Theses and Dissertations--Gerontology

Homeodynamic space (HDS) shrinks as vulnerability increases with aging and repeated damage to the cells. HDS is lost in alcoholic pancreatitis patients due to overconsumption of alcohol, smoking, and high fat diets. Etiologically relevant animal models for study of chronic pancreatitis (CP) are needed. In order to begin filling this gap a central purpose of this dissertation research was to examine relationships between the alcohol and high fat diet (AHF) and pancreatitis with attention to hypersensitivity and anxiety-like behaviors. The AHF diet induced pancreatitis described here etiologically mimics human risk factors of AHF consumption for advancement to alcoholic CP.

In …

Improvement Of Under-Represented Minority Individuals In The Healthcare Field Of Communication Sciences And Disorders, Allison Webb

Lewis Honors College Capstone Collection

Individuals from under-represented minority backgrounds are scarce within healthcare careers. Former research has suggested that this lack of diversity begins at the undergraduate level. This proposal discusses a potential solution to this problem occurring at the University of Kentucky and other colleges across the United States. Suggested intervention targeted diverse populations, connected students with faculty and staff, and provided shadowing resources for individuals from under-represented minority backgrounds. Based on research and current diversity statistics, populations of individuals from diverse backgrounds are expected to increase within the Communication Sciences and Disorders program. Demographic information for the fall 2016 semester will become …

The Influence Of Time On Food Intake Patterns: Age, Period, Cohort Differences, Karina L. Christopher

Theses and Dissertations--Gerontology

The impact of diet and exercise on overall health and chronic disease risk has been well examined. Multiple studies show that Americans eat more now than they did fifty years ago. What isn’t known is how much of an impact time has on food intake patterns of individuals in terms of different age groups, historic periods of structural influences, and birth cohorts.

In order to identify the impact of time on food intake this study examined time from multiple perspectives. The first aim of this study was to determine food intake patterns among age groups across five time periods using …

Comt And Oprm1 Genotype Associations With Daily Knee Pain Variability And Activity Induced Pain, Lynn M. Martire, Stephanie J. Wilson, Brent J. Small, Yvette P. Conley, Piotr K. Janicki, Martin J. Sliwinski

Aging Studies Faculty Publications

Background: Osteoarthritis (OA) of the knee is a common and increasingly prevalent condition that is one of the primary causes of chronic pain. Staying physically active protects against disability from knee OA but is also very challenging. A critical but unexamined question is whether patients at greatest risk for becoming less active are those with a genetic predisposition for greater sensitivity to daily pain.

Aims: We examined day-to-day variability in knee OA pain for patients with different variants of catechol-O-methyltransferase (COMT) and mu-opioid receptor (OPRM1) single nucleotide polymorphisms (SNPs), and whether patients with a specific genotype experience more pain following …

Walking-Induced Fatigue Leads To Increased Risk In Older Adults, S. Morrison, S. R. Colberg, H. K. Parson, S. Neumann, R. Handel, E. J. Vinik, J. Paulson, A. I. Vinik

Rehabilitation Sciences Faculty Publications

Background- For older adults, falls are a serious health problem, with more than 30% of people older than 65 suffering a fall at least once a year. One element often overlooked in the assessment of falls is whether a person's balance, walking ability, and overall falls risk is affected by performing activities of daily living such as walking.

Objective- This study assessed the immediate impact of incline walking at a moderate pace on falls risk, leg strength, reaction time, gait, and balance in 75 healthy adults from 30 to 79 years of age. Subjects were subdivided into 5 equal groups …

What's Their Expiration Date? Age Discrimination In The Workplace, Bianca L. Tomlin

Masters Theses

Age discrimination, although illegal, continues to have a presence within organizations against older individuals. Previous research on age discrimination has determined that the social identity of those older workers discriminated against are affected. This project examines how older workers are being discriminated against, how age discrimination affects the dignity of an older worker, and how age discrimination affects the professional identity of older workers. This study focuses on eleven white-collar workers, age 45-65 who have experienced age discrimination in the workplace. Analysis revealed that older workers found themselves being fired from organizations, barred from entry into organizations, and denied training …

It Is All About (U)Biquitin: Role Of Altered Ubiquitin-Proteasome System And Uchl1 In Alzheimer Disease, Antonella Tramutola, Fabio Di Domenico, Eugenio Barone, Marzia Perluigi, D. Allan Butterfield

Chemistry Faculty Publications

Free radical-mediated damage to macromolecules and the resulting oxidative modification of different cellular components are a common feature of aging, and this process becomes much more pronounced in age-associated pathologies, including Alzheimer disease (AD). In particular, proteins are particularly sensitive to oxidative stress-induced damage and these irreversible modifications lead to the alteration of protein structure and function. In order to maintain cell homeostasis, these oxidized/damaged proteins have to be removed in order to prevent their toxic accumulation. It is generally accepted that the age-related accumulation of “aberrant” proteins results from both the increased occurrence of damage and the decreased efficiency …

Predicting Mortality In Patients Treated Differently: Updating And External Validation Of A Prediction Model For Nursing Home Residents With Dementia And Lower Respiratory Infections, Simone P. Rauh, Martijn W. Heymans, David R. Mehr, Robin L. Kruse, Patricia Lane, Neil W. Kowell, Ladislav Volicer, Jenny T. Van Der Steen

Aging Studies Faculty Publications

Objective To evaluate whether a model that was previously developed to predict 14-day mortality for nursing home residents with dementia and lower respiratory tract infection who received antibiotics could be applied to residents who were not treated with antibiotics. Specifically, in this same data set, to update the model using recalibration methods; and subsequently examine the historical, geographical, methodological and spectrum transportability through external validation of the updated model.

Design 1 cohort study was used to develop the prediction model, and 4 cohort studies from 2 countries were used for the external validation of the model.

Setting Nursing homes in …

Posttraumatic Growth Among Older Adults With Late-Life Cancer Diagnoses, Aasha I. Hoogland

Theses and Dissertations--Gerontology

Gerontological scholarship has often focused on the ways older adults deteriorate or decline with time, but it is plausible that positive change continues into and throughout old age. Late-life psychosocial growth may even be facilitated by a life-altering event such as a cancer diagnosis, a phenomenon broadly termed posttraumatic growth (PTG). PTG has been examined in a variety of general population samples, but there is a noticeable lack of research on PTG that focuses on older adults—a population for whom cancer diagnoses are particularly prevalent. Using a mixed methods design, this dissertation was designed to advance our understanding of PTG …

The Role Of Unpaid Volunteers In A Group Caregiving Approach : Validation Of The Sharetm The Care Program, Amy Hegener

Legacy Theses & Dissertations (2009 - 2024)

The growing population of older adults will lead to a change in the age structure in the United States, with older people outnumbering younger people for the first time. The changing age structure will affect the current workforce and place demands on the health and long term services and supports system. Moreover, with the suspension of many government programs and hospitals working to cut readmissions the burden on caregivers is increasing. On the other hand, the new generation of older adults will be healthier and better educated than previous generations. They are expected to be more productive and civically engaged, …

Linking Discrimination To Health: Does Coping Matter For The Mental Health Of Black Men And Women?, Calley Fisk

Theses and Dissertations

Efforts to explain the negative association between discrimination and mental health have examined psychosocial responses to discrimination, such as coping responses or resources. However, there is limited research on how these coping strategies affect the discrimination-health relationship among Black Americans. Using data from the National Survey of American Life (NSAL), the present study examines the effect of perceived discrimination on depressive symptoms separately for men and women and tests the mediating and moderating influences of five coping strategies on this relationship. Results suggest that social support partially mediates the negative association between discrimination and mental health for men and women. …

Respiratory Sinus Arrhythmia Reactivity To A Sad Film Predicts Depression Symptom Improvement And Symptomatic Trajectory, Vanessa Panaite, Alexandra Cowden Hindash, Lauren M. Bylsma, Brent J. Small, Kristen Salomon, Johnathan Rottenberg

Psychology Faculty Publications

Respiratory sinus arrhythmia (RSA) reactivity, an index of cardiac vagal tone, has been linked to self-regulation and the severity and course of depression (Rottenberg, 2007). Although initial data supports the proposition that RSA withdrawal during a sad film is a specific predictor of depression course (Fraguas, 2007; Rottenberg, 2005), the robustness and specificity of this finding are unclear. To provide a stronger test, RSA reactivity to three emotion films (happy, sad, fear) and to a more robust stressor, a speech task, were examined in currently depressed individuals (n = 37), who were assessed for their degree of symptomatic improvement over …

Education: An Unexplored Variable On Millennial Volunteer Attitudes, Darian N. Everding

Honors Program Theses

For the 1.9 million nonprofit organizations in the United States, engaging potential volunteers in an efficient way is critical to their success. As Baby Boomers retire, the Millennial generation is expected to populate an ever-growing percentage of the volunteer workforce. The Millennial population totals nearly 80 million in the United States alone. The current body of research has been focused primarily on general attitudes of Millennials in regards to volunteering, philanthropy, and corporate social responsibility. There has been very little analysis on the attitudes of Millennials based on their demographic information, especially their education level. Less than a third of …

Reducing Depression Among Older Adults: Informal Helping Versus Volunteering, Salih Salihoglu

MPA/MPP/MPFM Capstone Projects

Volunteerism is an unpaid productive activity that is exercised within a formal organization to benefit others that are not part of family or friends (Musick & Wilson, 2008). Alternatively, individuals could engage in informal helping which would be an activity undertaken outside a formal, structured organization. This paper addresses whether informal helping is also effective in reducing depression for older adults alongside volunteering. I hypothesize that informal helping is effective in reducing depression only when exercised for short durations. On the other hand, I hypothesize that volunteerism is only effective when exercised for long periods of time. I try to …

Functional Status In Older Women Diagnosed With Pelvic Organ Prolapse, Tatiana V.D. Sanses, Nicholas K. Schiltz, Bruna M. Couri, Sangeeta T. Mahajan, Holly E. Richter, David F. Warner, Jack Guralnik, Siran M. Koroukian

Department of Sociology: Faculty Publications

Background—Functional status plays an important role in the comprehensive characterization of older adults. Functional limitations are associated with an increased risk of adverse treatment outcomes, but there is limited data on the prevalence of functional limitations in older women with pelvic floor disorders.

Objective—The aim of the study was to describe the prevalence of functional limitations based on health status in older women with pelvic organ prolapse.

Study Design—This pooled, cross-sectional study utilized data from the linked Health and Retirement Study and Medicare files between 1992 and 2008. The analysis included 890 women ≥65 years with pelvic organ prolapse. We …

The Effects Of Individual-Level Income And Contextual-Level Income Inequality On Health, Beth Simmert

Wayne State University Dissertations

The relationship between income inequality and health is often studied at either the individual-level or contextual-level. The purpose of this research is to assess both of these levels, by simultaneously examining the individual and contextual contributions of income inequality on health. To address this research objective, I use data for 14,126 respondents from the 2006 wave of the Health and Retirement Study (HRS), a nationally representative sample of Americans over 50. For this analysis, I use multi-level modeling with fixed and random intercepts to assess the relationship between income inequality and three measures of health. This study has two main …